| Regimental number | 14810 |
| Place of birth | South Melbourne Victoria |
| Religion | Church of England |
| Occupation | Tobacco worker |
| Address | Stanmore, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs E S Fell, 108 Cardigan Street, Stanmore, New South Wales |
| Enlistment date | 11 December 1915 |
| Date of enlistment from Nominal Roll | 18 May 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, August 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 9 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st C.D. |
| Fate | Returned to Australia 1 August 1919 |
